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Verification Of Benefits

Client Name

Street Address

City

State

ZIP

E-Mail

Insurance Company Name

Group #

Subscriber's D.O.B

Client D.O.B

Phone

Driver's License

Policy #

Subcriber's Name

Insurance Phone #

We serve people who are looking for confidentiality, whether it is because of their profession or their preference. Clients receive confidential, long-term addiction treatment that supports sustainable recovery.